How will Availity determine which record format should supersede/dominate/drive the transaction, during the period of time from January 1, 2011 to January 1, 2012?
Payer readiness will determine the format/version, as well as the effective date, for each transaction. During the one-year transitional period, Availity will accept either incoming record format (4010A1 or 5010) from a submitter, and will “up-convert” or “down-convert” it to the payer’s preferred format so the transaction can be completed. For paired transactions (270/271 Eligibility and Benefits Inquiry and Response, 276/277 Claim Status Inquiry and Response, etc.), the response returned to the submitter will be in the same version as the initial inbound inquiry transaction. Availity will make any necessary up- or down-conversions to display the information in the customer’s preferred format.
